EDWIN G VENTOCILLA PA-C
NPI 1508934860
Physician Assistant in Sacramento, CA

Q: What is Edwin Ventocilla's NPI number?

The NPI number for Edwin Ventocilla is 1508934860. It was assigned to this individual provider in the NPPES registry on December 2, 2006.

Q: What is Edwin Ventocilla's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Edwin Ventocilla was last updated on January 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 02, 2006PECOS Enrolled

6339 MACK RD, SACRAMENTO, CA 95823(916) 454-2345 Get Directions Write a Review

NPPES record last updated: January 6, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 6, 2023, Mar 30, 2018, Dec 23, 2015 (3 updates tracked since 2015).

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About Edwin G Ventocilla Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDWIN G VENTOCILLA PA-C (NPI 1508934860) is an individual physician assistant in Sacramento, California, licensed in California (PA16349) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508934860

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameEDWIN G VENTOCILLACredential: PA-C

Location Address6339 MACK RDSacramento, CA 95823-4655

Mailing Address1860 Howe Ave Ste 440Sacramento, CA 95825-1098 · (916) 569-8484

Phone(916) 454-2345

Sole ProprietorNo

Enumeration DateDecember 2, 2006

Last NPPES UpdateJanuary 6, 20233 updates tracked since enumeration

NPPES CertifiedJanuary 6, 2023

✔ NPI 1508934860 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in CA · PA16349

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

6339 MACK RD, Sacramento, CA 95823

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Other Identifiers 2

OtherDV5277-P01505494CA · Railroad Medicare

MedicaidEFF 6/18/15CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Edwin G Ventocilla Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95823 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$92.61 typical visit price

range $60.44 – $180.85

Typical copayment $23.15 (range $15.11 – $45.21)

Most-billed visit code 99203

Established Patient

$75.03 typical visit price

range $19.88 – $148.15

Typical copayment $18.75 (range $4.97 – $37.03)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

1 supplier33 claims33 services$28.22 avg. paid by Medicare

Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630

DME-Other DME · category DE000N

1 supplier21 claims21 services$38.51 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

1 supplier143 claims143 services$12.43 avg. paid by Medicare

Elevating leg rests, pair (for use with capped rental wheelchair base) K0195

DME-Wheelchairs · category DD021N

1 supplier26 claims26 services$4.71 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ADRIENNE EUSEBIO WOLOWODIUK LCSW

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